Figure.

Concordance of polygenic scores among related individuals. Two-dimensional correlation heat maps of polygenic scores for coronary artery disease (CAD) between pairs of monozygotic twins (A), siblings (B), and second-degree relatives (C). D, The percentage of individuals with a sibling’s polygenic score above a certain threshold percentage who also share a similarly increased polygenic score for 4 cardiometabolic diseases. Polygenic scores were normalized to have a mean of 0 and SD of 1 as performed previously.1–3 Among sibling pairs with discordant disease status, median polygenic score was higher in the afflicted siblings for each of the 4 diseases, with effect ranging from 0.22 to 0.44 SD units (P<0.001 by paired Wilcoxon rank-sum test for each; E).